Healthcare Provider Details

I. General information

NPI: 1346488947
Provider Name (Legal Business Name): WOMEN FIRST, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 S GRAND BLVD SUITE A
SPOKANE WA
99203-2347
US

IV. Provider business mailing address

1919 S GRAND BLVD SUITE A
SPOKANE WA
99203-2347
US

V. Phone/Fax

Practice location:
  • Phone: 509-536-1836
  • Fax: 509-747-6668
Mailing address:
  • Phone: 509-536-1836
  • Fax: 509-747-6668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number602868731
License Number StateWA

VIII. Authorized Official

Name: DR. CRISTIAN ANDRONIC
Title or Position: PRESIDENT
Credential: MD
Phone: 509-536-1836